SUCCESSFUL TREATMENT OF CHALLENGING CASE OF INFECTIVE ENDOCARDITIS
Keywords:
endocarditis, fibrous heart skeleton, cardiosurgical treatment
Abstract
Introduction: We present a successfully cardiosurgically treated patient with damage to the fibrous heart skeleton caused by advanced infective endocarditis after the replacement of the aortic valve.
Case report: Redo procedure was done through median sternotomy using cardiopulmonary bypass. Artificial aortic and native mitral valves were excised and all infected tissues were removed. Reconstruction of the fibrotic cardiac skeleton was done using two autologous pericardial patches according to Tyrone-David. Both mechanical valves were implanted.
Conclusion: Successful curing one of the most difficult conditions in cardiac surgery is possible in our country.
References
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2. Cahill TJ, Baddour LM, Habib G, Hoen B, Salaun E, Pettersson GB, et al. Challenges in Infective Endocarditis. J Am Coll Cardiol. 2017;69:325-344.
3. Vincent LL, Otto CM. Infective Endocarditis: Update on Epidemiology, Outcomes, and Management. Curr Cardiol Rep. 2018. doi: 10.1007/s11886-018-1043-2.
4. Miletic K, Tong MZ. Fibrous skeleton reconstruction for invasive aortic and mitral valve endocarditis. Asian Cardiovasc Thorac Ann. 2020;28:381-383.
5. Kim JH, Lee HJ, Ku NS, Lee SH, Lee S, Choi JY, et al. Infective endocarditis at a tertiary care hospital in South Korea. Heart. 2020. doi: 10.1136/heartjnl-2020-317265.
6. Nilto CDO, David TE, Susan A. Aortic and mitral valve replacement with reconstruction of the intervalvular fibrous body: An analysis of clinical outcomes. J Thorac Cardiovasc Surg 2005;129:286-290.
7. Talha KM, DeSimone DC, Sohail MR, Baddour LM. Pathogen influence on epidemiology, diagnostic evaluation and management of infective endocarditis. Heart. 2020. doi: 10.1136/heartjnl-2020-317034.
8. Lazaros G, Lazarou E, Tousoulis D. Predicting mortality in infective endocarditis: More light in a hazy landscape. Hellenic J Cardiol. 2020. doi: 10.1016/j.hjc.2020.09.013.
9. De Oliveira NC, David TE, Armstrong S, Ivanov J. Aortic and mitral valve replacement with reconstruction of the intervalvular fibrous body: an analysis of clinical outcomes. J Thorac Cardiovasc Surg. 2005;129:286-290.
10. Pettersson GB, Hussain ST, Ramankutty RM, Lytle BW, Blackstone EH. Reconstruction of fibrous skeleton: technique, pitfalls and results. Multimed Man Cardiothorac Surg. 2014. doi: 10.1093/mmcts/mmu004.
11. Parish LM, Liu L, Woo YJ. Endocarditis with massive aortic root abscess and atrioventricular septal destruction. Interact Cardiovasc Thorac Surg. 2009;8:280-282.
12. Davierwala PM, Binner C, Subramanian S, Luehr M, Pfannmueller B, Etz C, et al. Double valve replacement and reconstruction of the intervalvular fibrous body in patients with active infective endocarditis. Eur J Cardiothorac Surg. 2014;45:146-152.
2. Cahill TJ, Baddour LM, Habib G, Hoen B, Salaun E, Pettersson GB, et al. Challenges in Infective Endocarditis. J Am Coll Cardiol. 2017;69:325-344.
3. Vincent LL, Otto CM. Infective Endocarditis: Update on Epidemiology, Outcomes, and Management. Curr Cardiol Rep. 2018. doi: 10.1007/s11886-018-1043-2.
4. Miletic K, Tong MZ. Fibrous skeleton reconstruction for invasive aortic and mitral valve endocarditis. Asian Cardiovasc Thorac Ann. 2020;28:381-383.
5. Kim JH, Lee HJ, Ku NS, Lee SH, Lee S, Choi JY, et al. Infective endocarditis at a tertiary care hospital in South Korea. Heart. 2020. doi: 10.1136/heartjnl-2020-317265.
6. Nilto CDO, David TE, Susan A. Aortic and mitral valve replacement with reconstruction of the intervalvular fibrous body: An analysis of clinical outcomes. J Thorac Cardiovasc Surg 2005;129:286-290.
7. Talha KM, DeSimone DC, Sohail MR, Baddour LM. Pathogen influence on epidemiology, diagnostic evaluation and management of infective endocarditis. Heart. 2020. doi: 10.1136/heartjnl-2020-317034.
8. Lazaros G, Lazarou E, Tousoulis D. Predicting mortality in infective endocarditis: More light in a hazy landscape. Hellenic J Cardiol. 2020. doi: 10.1016/j.hjc.2020.09.013.
9. De Oliveira NC, David TE, Armstrong S, Ivanov J. Aortic and mitral valve replacement with reconstruction of the intervalvular fibrous body: an analysis of clinical outcomes. J Thorac Cardiovasc Surg. 2005;129:286-290.
10. Pettersson GB, Hussain ST, Ramankutty RM, Lytle BW, Blackstone EH. Reconstruction of fibrous skeleton: technique, pitfalls and results. Multimed Man Cardiothorac Surg. 2014. doi: 10.1093/mmcts/mmu004.
11. Parish LM, Liu L, Woo YJ. Endocarditis with massive aortic root abscess and atrioventricular septal destruction. Interact Cardiovasc Thorac Surg. 2009;8:280-282.
12. Davierwala PM, Binner C, Subramanian S, Luehr M, Pfannmueller B, Etz C, et al. Double valve replacement and reconstruction of the intervalvular fibrous body in patients with active infective endocarditis. Eur J Cardiothorac Surg. 2014;45:146-152.
Published
2020/12/22
Section
Case report
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